| NPI | 1780895318 |
|---|---|
| Doing Business As | EXTENDED PSYCH |
| Entity Type | Organization |
| Authorized Contact | XAVIER BANCROFT President & CEO 215-787-9001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-08-01 |